Wednesday, May 2, 2012

Could Tooth Decay Upset Heart Rhythms?


Could Tooth Decay Upset Heart Rhythms?
January 4, 2012

By Nancy Volkers
InteliHealth News Service

INTELIHEALTH - Older people with decay in the roots of their teeth may be at increased risk for heart rhythm problems, say Japanese researchers.

The study focused on the relationship between overall health and dental diseases, such as cavities and gum disease. It included 233 people. This was the first time that a study examined the development of heart problems over an extended time period.

People in the study had dental exams and heart tests once a year for 4 years. They also had blood tests to measure the level of C-reactive protein, or CRP. The liver makes CRP in response to inflammation.

People with higher levels of CRP also had more decay in the roots of their teeth. Root decay can occur when the gums pull back (recede) from the teeth. This exposes the roots, which do not have a protective layer of enamel. They are covered in cementum, which is softer and thinner than enamel.

In non-smokers, those with the most sites of root decay were nearly six times as likely to have heart rhythm problems as those with no root decay. These problems are called cardiac dysrhythmias. They can include a heartbeat that is too fast, too slow or irregular. Some are life-threatening.

Other studies have found a link between root decay and abnormal heart rhythms. And other oral diseases, such as periodontal disease, have been linked with heart problems. The authors concluded that the increase in heart rhythm problems could be due to increased inflammation.

The study appears in the December 2011 issue of the journal Gerodontology.

Tuesday, February 14, 2012

To Reduce Gum Disease Risk, Get Your Vitamins

To Reduce Gum Disease Risk, Get Your Vitamins


February 7, 2012

By Nancy Volkers

InteliHealth News Service
INTELIHEALTH - One more reason to get your vitamins: They may help to prevent periodontal disease.

Japanese researchers found that older people with low blood levels of vitamin C and vitamin E were more likely to have periodontal disease.
The study included 224 older adults. It lasted from 1999 to 2007. Each year, people had a periodontal exam. They also had blood tests. The researchers tested for levels of vitamins C and E.
The researchers divided the people into three groups according to blood levels of vitamin C. Those with blood levels in the lowest third had a 30% increased risk of periodontal disease, compared with those with levels in the highest third. Those in the middle third had a 12% increased risk.

The researchers also divided the people into three groups based on blood levels of vitamin E. In this case, those with the lowest levels had a 15% increased risk of periodontal disease, compared with those in the highest third. Those in the middle third did not have an increased risk.
Vitamins C and E are known as antioxidants. They can protect cells against damage. Low levels of antioxidants have been linked with risk for many diseases, such as heart disease, cancer and arthritis.
Vitamin C also has a historic link with gum health. Severe deficiency of vitamin C causes scurvy. This was a deadly disease among sailors for centuries. One symptom of scurvy was spongy gums.

The Japanese study appears in the February issue of the Journal of Dental Research.

Wednesday, February 1, 2012

Oral cancer virus affects 7 percent of Americans

CHICAGO - About 16 million Americans have oral HPV, a sexually transmitted virus more commonly linked with cervical cancer that also can cause mouth cancer, according to the first nationwide estimate.

HPV - human papilloma virus - is increasingly recognized as a major cause of oral cancers affecting the back of the tongue and tonsil area. Smoking and heavy drinking are also key causes.

Until now, it was not known how many people have oral HPV infections.

Overall, 7 percent of Americans aged 14 to 69 are infected, the study found.

But the results are not cause for alarm. While mouth cancers are on the rise - probably from oral sex - most people with oral HPV will never develop cancer. And most don't have the kind most strongly linked to cancer. Also, tests for oral HPV are costly and mainly used in research.

Still, experts say the study provides important information for future research that could increase knowledge about who is most at risk for oral cancer and ways to prevent the disease.

The nationally representative study is based on 30-second gargle tests given to about 5,500 people in a 2009-10 government health survey. Their mouthwash samples were tested for HPV.

The results were published online Thursday in the Journal of the American Medical Association.

There are many types of HPV, but one in particular, known as HPV-16, is most strongly linked with oral cancer and also is a common cause of cervical cancer. That form was found in about 1 percent of people studied, translating to about 2 million Americans.

Dr. Maura Gillison, the lead author and a researcher at Ohio State University, said the study "provides us some reassurance" that most people with oral HPV will not get oral cancer. Millions may have oral HPV, but fewer than 15,000 Americans get HPV-linked oral cancer each year.

She said the study should prompt research into whether the existing vaccines for cervical cancer protect against oral HPV, too.

Gillison has consulted with Merck & Co., and GlaxoSmithKline, makers of HPV vaccines. Ohio State, Merck and the National Cancer Institute helped pay for the study.

Dr. Ezra Cohen, a head and neck cancer specialist at the University of Chicago, said the study provides important information confirming similarities in risk factors for HPV oral infections and oral cancer.

For example, oral HPV was more common in men than women - 10 percent versus almost 4 percent; in smokers; and in people who had many sexual partners. People aged 55 to 59 were most at risk.

Sexual activity was a strong risk factor, including oral sex.

Oral HPV infection rates were much lower than previous estimates for HPV affecting the cervix and other genital areas, suggesting that the mouth might somehow be more resistant to infection, according to a journal editorial.

Dr. Hans Schlecht, the editorial author and an infectious disease specialist at Drexel University in Philadelphia, said the study provides fodder for researching how some infections lead to cancer and identifying ways to detect and treat HPV-related oral lesions before they turn into cancer.

Unlike non-HPV cancers easily seen in the front of the mouth, HPV-linked tumors in the rear tongue and tonsil area are often hard to detect.

Schlecht emphasized the importance of knowing symptoms of these cancers, which can include a sore throat, difficulty swallowing, ear pain and swollen lymph nodes in the neck.


Tuesday, November 29, 2011

Use your coverage before its too late

Dental insurance can be very confusing.   Unlike medical insurance it is more like a loan.  The insurance company that you contract with allots you a certain amount of coverage to use during the year.  They determine how much of that money can be put toward different procedures.  For example, even if you have $3000 of coverage which would cover the cost of a crown, your insurance may only cover 50% of crowns. So, why not take advantage of the benefits your insurance gives you.  Complete your treatment before the end of the year. Reserve your time now before it’s too late. 

Wednesday, October 19, 2011

Halloween Horror: The Dangers of Sour Candy

Halloween Horror: The Danges of Sour Candy
William Domb DMD

Tart or sour Halloween candies carry an increased risk for promoting tooth erosion and tooth decay. Parents should take extra precautions to monitor Halloween candies for their children as well as to avoid giving them to children who come as Trick-or-Treaters.
This Halloween there is more to be scared of than ghoulish
costumes. What can be terrifying to your child’s teeth is sour
acid candy! These candies come in many varieties and forms:
hard and soft, chewy candies, powdered candies and gums,
sour gels and sprays, crystals, cotton candy and chewing
gums. They contain strong food acids that have been known
to erode the surface of the teeth. Many parents consider these
candies safer because they may contain less sugar, but what
you don’t know is the acid content approaches the pH level of
battery acid.
The growing popularity of these candies has raised concern among dental professionals due to the potential
erosion of the tooth surface. Dental erosion can cause wear to the tooth surface in the form of craters on cusp
tips to thinning of the flat surfaces. When the pH of the mouth drops below 5.5, the tooth surface more prone to
tooth erosion and tooth decay. Other problems such as tooth sensitivity and staining can also develop.
Irritation of the soft tissues of the mouth is common with sour candies and some candies contain warning labels
to this effect.
The following tips are recommended to make Halloween safe for children’s teeth:
Do not purchase sour candies for Trick-or-Treaters
Search your child’s candy sack and remove sour acid candies. Replace these candies with a small piece of
sugarless gum or candy, sticker or small prize.
Xylitol gum is the best; it actually REDUCES and HEALS cavities
If you absolutely need to ear sour candies, do so at meal time vs. in-between meals.
After eating sour candies, rinse your mouth with water immediately. This will help to neutralize the oral
cavity.
Do not brush your teeth immediately after eating these sour candies, wait at least 30 minutes.
See your dental professional if you think you have damage from dental erosion. There are treatments
available that will help.

Wednesday, October 5, 2011

Majority of Dogs, Cats over

Majority of Dogs, Cats over Age 2 in U.S. Have Some Form of Dental Disease: Vets
September 7, 2011

LOS ANGELES, Calif. (Canadian Press) -- Dogs have 42 teeth, humans have 32, cats have 30 and Mario has none.

The cat was eating poorly, hiding in the closet, and had red, sore gums when he was diagnosed with a mouth infection called stomatitis. Three surgeries and $10,000 later, all his teeth had been pulled.

"Once he started feeling better, he again became a happy, normal, healthy cat, very loving, affectionate and playful," said Mary Roever of Green Bay, Wis., who with her husband adopted Mario from a shelter. "His cheek appears ever so slightly sunken in, but you really have to look to see it."

The American Veterinary Medical Association estimates that by age two, 80 per cent of dogs and 70 per cent of cats have some form of dental disease. Infections have been linked to diabetes, heart attacks, strokes, kidney disease and other life- threatening problems.

Dental disease was the most common problem found among the 2.2 million dogs and 450,000 cats treated at Banfield Pet Hospitals in 2010, according to the group's "State of Pet Health 2011 Report." With 770 hospitals in 43 states, Banfield is the world's largest general vet practice.

It can be hard to tell if your dog or cat has a toothache, but there are warning signs, said Dr. Kevin S. Stepaniuk, president-elect of the American Veterinary Dental Society, and assistant clinical professor and veterinary dentist at the University of Minnesota's College of Veterinary Medicine.

Bad breath, loose or discoloured teeth, cowering if touched on the jaw or snout, drooling, dropping food, bleeding from the gums, loss of appetite and loss of weight are some signs, Stepaniuk said.

Pets might also paw at their mouth and make exaggerated jaw movements when eating or drinking, he said.

"It hurts and it's very smelly," said veterinarian Edgardo Ortiz, Banfield's medical director for New York and New Jersey. "When the pets are healthy, owners will kiss them. With severe tooth trouble, people don't want to kiss their pets so they don't get as much love. That's reality."

Mario's symptoms even included a squeaky meow, though it returned to normal after his surgery. Still, there are a few things the toothless cat can't do, Roever said: "He has no teeth to pick things up with. We pile his canned food up into a mountain so it's easier for him to eat." She also buys extra-small kibble.

He will ignore furry toys and go for smooth, cloth-covered ones instead, she said. "I suspect the furry cloth feels funny on the gums."

Tooth decay can happen at any age, but is more likely in older pets and in smaller toy breeds. "They eat more canned food and more will get stuck in their teeth," Ortiz said. Larger dogs tend to eat more dry food, which scrapes the teeth, and helps remove tartar, he said.

"Ask yourself the question: 'If you did not brush your teeth daily, what would happen?' In a few days you would have significant plaque and, within a few more, increased tartar," Stepaniuk said.

Owners are advised to take their pets to the vet twice a year for routine checkups and get their teeth cleaned once a year.

In a perfect world, Ortiz said pet owners would brush their dog's or cat's teeth twice a day, but twice a week will produce amazing results.

Add dental chews and a water additive that helps prevent tartar and pets should stay very kissable, Ortiz said.

Brushing an older pet's teeth for the first time can prove challenging, the vets acknowledged, but it is easy to teach a puppy or kitten to learn to like it, Ortiz said.

"Start with your bare finger and rub it along their gums and teeth. Get them used to having something in their mouth. Then get a finger-sized toothbrush with small fibres that do not scrape the teeth," he said. Toothpaste isn't necessary to remove tartar, but once the pet is used to the brush, it can be added.

Cats usually won't sit still for too long, so it helps if the toothpaste is tuna or chicken-flavoured, Ortiz said.

Stepaniuk warned not to give pets human toothpaste. "If human toothpaste is swallowed, which pets will do, it is toxic (due to the high levels of fluoride) as well as a gastrointestinal irritant," he said.

Any invasive dental work on pets -- extractions, root canals, and any thorough exam involving instruments and X-rays -- requires anesthesia, Stepaniuk said. There are no such things as dog dentures, he said, and implants and bridges are almost non-existent, but some dogs -- usually show dogs -- do get braces.

Pets do cope with the loss of teeth, Ortiz said, and their health and behaviour typically improve once the pain is gone.

Veterinarians will try to save strategic teeth when possible. These include the canine teeth and carnassial teeth (the big chewing teeth), Stepaniuk said.

Other types of pets are also vulnerable to dental problems. Ferrets can get tooth decay just like dogs and cats. Rabbits, guinea pigs, and chinchillas have continually growing cheek teeth and incisors; given the wrong diet, their teeth will overgrow and cause abscessed teeth, Stepaniuk said. Reptiles have teeth and without proper husbandry, they too can get severe infection and stomatitis.

The Canadian Press, 2011

Tuesday, October 4, 2011

2011 Team Building

Every year Levy Dental does something to strengthen our relationships as a team. This year we had an ice cream making challenge. We divided up into teams and had to create a unique flavor of ice cream. Presentation and taste along with a marketing presentation and commercial decided who's treat won. In the end it was a great day with smiles shared by all!